Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.61 / $1,597.61 / $1,597.61	Facility		$1,597.61	$1,597.61	$1,597.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.91 / $1,447.68 / $1,902.51	Professional		$1,020.91	$1,447.68	$1,902.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.20 / $2,195.82 / $3,633.08	Facility		$1,996.20	$2,195.82	$3,633.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.58 / $1,856.47 / $2,455.32	Professional		$1,487.58	$1,856.47	$2,455.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $427.19 / $427.19	Facility		$140.72	$427.19	$427.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $6,123.52 / $9,659.94	Facility		$1,452.11	$6,123.52	$9,659.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $2,340.00 / $2,925.00	Professional		$163.71	$2,340.00	$2,925.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $1,162.71 / $2,396.42	Facility		$206.70	$1,162.71	$2,396.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $239.54 / $1,643.13 / $1,643.13	Professional		$239.54	$1,643.13	$1,643.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $2,875.70 / $9,676.59	Facility		$206.70	$2,875.70	$9,676.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.40 / $1,402.84 / $2,305.54	Professional		$1,015.40	$1,402.84	$2,305.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $58.40 / $1,475.50	Professional		$3.60	$58.40	$1,475.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $1,597.61 / $2,396.42	Facility		$206.70	$1,597.61	$2,396.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $239.54 / $1,643.13 / $1,643.13	Professional		$239.54	$1,643.13	$1,643.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $431.47 / $560.24	Professional		$222.87	$431.47	$560.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,435.45 / $3,868.28 / $9,676.59	Facility		$3,435.45	$3,868.28	$9,676.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $163.71 / $1,503.13	Professional		$163.71	$163.71	$1,503.13
United Facility/Professional Professional Modifier Low / Median / High Price $923.90 / $1,259.28 / $2,229.53	Professional		$923.90	$1,259.28	$2,229.53